Invasive pathogens and bark beetles have caused precipitous declines of various tree species around the globe. Here, we characterized long‐term patterns of mountain pine beetle (
This content will become publicly available on May 1, 2024
- Award ID(s):
- 1655340
- NSF-PAR ID:
- 10465777
- Date Published:
- Journal Name:
- Journal of Geophysical Research: Biogeosciences
- Volume:
- 128
- Issue:
- 5
- ISSN:
- 2169-8953
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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Abstract Dendroctonus ponderosae ; MPB) attacks and white pine blister rust, an infectious tree disease caused by the pathogen,Cronartium ribicola . We focused on four dominant white pine host species in Sequoia and Kings Canyon National Parks (SEKI), including sugar pine (Pinus lambertiana ), western white pine (P. monticola ), whitebark pine (P. albicaulis ), and foxtail pine (P. balfouriana ). Between 2013 and 2017, we resurveyed 152 long‐term monitoring plots that were first surveyed and established between 1995 and 1999. Overall extent (plots with at least one infected tree) of white pine blister rust (blister rust) increased from 20% to 33%. However, the infection rate across all species decreased from 5.3% to 4.2%. Blister rust dynamics varied greatly by species, as infection rate decreased from 19.1% to 6.4% in sugar pine, but increased in western white pine from 3.0% to 8.7%. For the first time, blister rust was recorded in whitebark pine, but not foxtail pine plots. MPB attacks were highest in sugar pines and decreased in the higher elevation white pine species, whitebark and foxtail pine. Both blister rust and MPB were important factors associated with elevated mortality in sugar pines. We did not, however, find a relationship between previous fires and blister rust occurrence. In addition, multiple mortality agents, including blister rust, fire, and MPB, contributed to major declines in sugar pine and western white pine; recruitment rates were much lower than mortality rates for both species. Our results highlighted that sugar pine has been declining much faster in SEKI than previously documented. If blister rust and MPB trends persist, western white pine may follow similar patterns of decline in the future. Given current spread patterns, blister rust will likely continue to increase in higher elevations, threatening subalpine white pines in the southern Sierra Nevada. More frequent long‐term monitoring efforts could inform ongoing restoration and policy focused on threats to these highly valuable and diverse white pines. -
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Importance Screening with low-dose computed tomography (CT) has been shown to reduce mortality from lung cancer in randomized clinical trials in which the rate of adherence to follow-up recommendations was over 90%; however, adherence to Lung Computed Tomography Screening Reporting & Data System (Lung-RADS) recommendations has been low in practice. Identifying patients who are at risk of being nonadherent to screening recommendations may enable personalized outreach to improve overall screening adherence.
Objective To identify factors associated with patient nonadherence to Lung-RADS recommendations across multiple screening time points.
Design, Setting, and Participants This cohort study was conducted at a single US academic medical center across 10 geographically distributed sites where lung cancer screening is offered. The study enrolled individuals who underwent low-dose CT screening for lung cancer between July 31, 2013, and November 30, 2021.
Exposures Low-dose CT screening for lung cancer.
Main Outcomes and Measures The main outcome was nonadherence to follow-up recommendations for lung cancer screening, defined as failing to complete a recommended or more invasive follow-up examination (ie, diagnostic dose CT, positron emission tomography–CT, or tissue sampling vs low-dose CT) within 15 months (Lung-RADS score, 1 or 2), 9 months (Lung-RADS score, 3), 5 months (Lung-RADS score, 4A), or 3 months (Lung-RADS score, 4B/X). Multivariable logistic regression was used to identify factors associated with patient nonadherence to baseline Lung-RADS recommendations. A generalized estimating equations model was used to assess whether the pattern of longitudinal Lung-RADS scores was associated with patient nonadherence over time.
Results Among 1979 included patients, 1111 (56.1%) were aged 65 years or older at baseline screening (mean [SD] age, 65.3 [6.6] years), and 1176 (59.4%) were male. The odds of being nonadherent were lower among patients with a baseline Lung-RADS score of 1 or 2 vs 3 (adjusted odds ratio [AOR], 0.35; 95% CI, 0.25-0.50), 4A (AOR, 0.21; 95% CI, 0.13-0.33), or 4B/X, (AOR, 0.10; 95% CI, 0.05-0.19); with a postgraduate vs college degree (AOR, 0.70; 95% CI, 0.53-0.92); with a family history of lung cancer vs no family history (AOR, 0.74; 95% CI, 0.59-0.93); with a high age-adjusted Charlson Comorbidity Index score (≥4) vs a low score (0 or 1) (AOR, 0.67; 95% CI, 0.46-0.98); in the high vs low income category (AOR, 0.79; 95% CI, 0.65-0.98); and referred by physicians from pulmonary or thoracic-related departments vs another department (AOR, 0.56; 95% CI, 0.44-0.73). Among 830 eligible patients who had completed at least 2 screening examinations, the adjusted odds of being nonadherent to Lung-RADS recommendations at the following screening were increased in patients with consecutive Lung-RADS scores of 1 to 2 (AOR, 1.38; 95% CI, 1.12-1.69).
Conclusions and Relevance In this retrospective cohort study, patients with consecutive negative lung cancer screening results were more likely to be nonadherent with follow-up recommendations. These individuals are potential candidates for tailored outreach to improve adherence to recommended annual lung cancer screening.
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